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� ENGINEERING DEPARTMENT <br /> � BUZLDING PERMIT SNFORMATZON <br /> .: <br /> ;� ADllRESS_ 3 2,8 ,y � �/ � r S e /1 TYPE $ %` /� <br /> � 1) BUILDING PERMIT FEE $ <br /> � (A) PLAN CHECK FEE $ <br /> 2) WATER SERVICE TO BE PAID BEFGRE BUILDING <br /> PERMIT IS ISSUED $ 2 pp , e�B <br /> � (A) TO BE DETERMINED BY PLBG. INSP. �s� INCH <br /> (B) EXIST. � WATER SERVICE, APPL. NO. <br /> (C) APPROX. LOCATION 3S� W o'F � �T AIUe�tcen <br /> � CHART - �O q <br /> ' 3) DRIVEWAY PERMIT TO BE PAID SEF RE SUILDING <br /> PERMIT IS ISSUED � FT. � D/W (TYPE) $_ /Z, s-� <br /> TOTAL* $ <br /> 4) STATUS OF SEWER CHARGES: '/ <br /> BOND DISTRICT FOOTAGE /r , �, <br /> N, S, E, W. <br /> NOTES SEWElt CONNECTION CHARGES: <br /> YEAR �7S TRUNK $ � <br /> , LATERAL $ `-- <br /> TOTAL CONNECTION CHARGE $ <br /> SEWER PERM'i' FEE $ 30 , dJ <br /> CATCH BASIN PERMIS FEE $ <br /> TOTAL SEWER PERMIT FEES $ 30, o0 <br /> 5 MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION: <br /> TRUNK $ — <br /> LATERAL $ — <br /> SEWER SERVICE: S 2 ,�-� <br /> APPROX. LOCATION� OF SIDE SEWER OR TEE IN THE MAIN: B��,,,.:q -nN� �J. .;/. .J�A/r�r,p�.,, <br /> ' _at� r"', N-i/2 T,v�_Ll�� „ .r ,� <br /> CHART 7 - 2 9 -S <br /> INFO COMPILED BY: DATE - 2� -7L <br /> R�VIEW: DATE <br /> PROJECTS DIVISION <br /> APPROVAL: DATE <br /> ENGINEERING DEPARTMENT <br /> * This total must be paid before building pQrmit is iesued. <br />